Ankle and Foot 47 - Department of Radiology - University of ...
Ankle and Foot 47 - Department of Radiology - University of ...
Ankle and Foot 47 - Department of Radiology - University of ...
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<strong>47</strong> <strong>Ankle</strong> <strong>and</strong> <strong>Foot</strong> 2303 <strong>47</strong><br />
A<br />
B<br />
C<br />
D<br />
E<br />
Figure <strong>47</strong>-106. Plantar fasciitis in a 52-year-old with chronic bilateral heel pain. The left (A to C) <strong>and</strong> right (D to F) hindfeet were scanned<br />
individually. A, Sagittal T1-weighted image reveals thickening <strong>of</strong> the plantar fascia (white arrows). B, The corresponding sagittal inversion<br />
recovery (IR) image reveals edema (white arrowhead) deep to the plantar fascia (white arrow). Open arrow points to OS trigonum. C, Coronal T2-<br />
weighted fat-suppressed image demonstrates a line <strong>of</strong> fluid (white arrowhead) as well as some focal bone marrow edema (black arrowhead) deep<br />
to the origin <strong>of</strong> the plantar fascia (white arrow). (“med” <strong>and</strong> “lat” represent the medial <strong>and</strong> lateral sides <strong>of</strong> the image, respectively.) Incidentally<br />
seen is a normal os trigonum (open arrow in A to C) with bone marrow signal isointense to the normal bone marrow in the other bones. D, Sagittal<br />
T1-weighted image <strong>of</strong> the contralateral right foot also demonstrates a thickened plantar fascia (arrows). The calcaneal bone marrow edema is less<br />
conspicuous than on more fluid-sensitive sequences. E, The corresponding IR images reveal extensive bone marrow edema along the plantar<br />
portion <strong>of</strong> the calcaneus (arrowheads). F, Coronal T2-weighted fat-suppressed image shows the bone marrow edema (white arrowhead) radiating<br />
from the medial-plantar surface <strong>of</strong> the calcaneus, at the origin <strong>of</strong> the plantar fascia.<br />
F<br />
Ch0<strong>47</strong>-A05375.indd 2303<br />
9/9/2008 5:36:03 PM